How much rates vary
Facilitymedian $1,479 · 10th to 90th $501 to $8,913Professionalmedian $724 · 10th to 90th $407 to $1,148
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $7,244.36 Median $10,964.78 Typical High $16,595.87 | Facility | None | $7,244.36 | $10,964.78 | $16,595.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | 26 · Professional part | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,818.38 Median $9,332.54 Typical High $22,387.21 | Professional | None (both parts) | $2,818.38 | $9,332.54 | $22,387.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $302.00 | Professional | 26 · Professional part | $281.84 | $281.84 | $302.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,265.80 Median $7,943.28 Typical High $14,125.38 | Facility | None | $4,265.80 | $7,943.28 | $14,125.38 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $549.54 Typical High $891.25 | Professional | 26 · Professional part | $371.54 | $549.54 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $741.31 Typical High $1,412.54 | Facility | None | $478.63 | $741.31 | $1,412.54 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $426.58 Median $660.69 Typical High $1,258.93 | Facility | 26 · Professional part | $426.58 | $660.69 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $812.83 Typical High $1,230.27 | Professional | None (both parts) | $602.56 | $812.83 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $724.44 Typical High $1,071.52 | Professional | 26 · Professional part | $489.78 | $724.44 | $1,071.52 |
Health Partners Setting Facility Modifier None Typical Low $426.58 Median $691.83 Typical High $1,202.26 | Facility | None | $426.58 | $691.83 | $1,202.26 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $380.19 Median $602.56 Typical High $1,047.13 | Facility | 26 · Professional part | $380.19 | $602.56 | $1,047.13 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $478.63 Median $724.44 Typical High $1,122.02 | Professional | None (both parts) | $478.63 | $724.44 | $1,122.02 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $645.65 Typical High $1,000.00 | Professional | 26 · Professional part | $426.58 | $645.65 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $3,467.37 Typical High $7,943.28 | Facility | None | $489.78 | $3,467.37 | $7,943.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $363.08 Median $549.54 Typical High $1,023.29 | Professional | None (both parts) | $363.08 | $549.54 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $549.54 Typical High $1,023.29 | Professional | 26 · Professional part | $363.08 | $549.54 | $1,023.29 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $9,772.37 | Facility | None | $2,818.38 | $4,265.80 | $9,772.37 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $537.03 Typical High $1,000.00 | Professional | None (both parts) | $309.03 | $537.03 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $537.03 Typical High $1,000.00 | Professional | 26 · Professional part | $309.03 | $537.03 | $1,000.00 |
10 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 52 · Reduced service | $141.25 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | 53 · Discontinued | $56.23 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | 54 · Surgery only | $213.80 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | 55 · Aftercare only | $42.66 | $42.66 | $42.66 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | 56 · Pre-op care only | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $141.25 Typical High $162.18 | Professional | 52 · Reduced service | $141.25 | $141.25 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $64.57 | Professional | 53 · Discontinued | $56.23 | $56.23 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $213.80 Typical High $245.47 | Professional | 54 · Surgery only | $213.80 | $213.80 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $42.66 Typical High $48.98 | Professional | 55 · Aftercare only | $42.66 | $42.66 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.18 Typical High $32.36 | Professional | 56 · Pre-op care only | $28.18 | $28.18 | $32.36 |
Where Minnesota sits
The same service costs 19.5 times more in Colorado than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Minnesota· 31st of 51
$813
CO $6,761MD $347
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.